SAMUEL H IDARRAGA

WAUWATOSA, WI
NPI1700850070
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: WI  33511-020)
Enumeration Date2006-02-14
Last Update Date2010-03-02
Business Address
Dr. SAMUEL H IDARRAGA M.D.
2645 N MAYFAIR RD SUITE 200
WAUWATOSA, WI 53226-1304
Phone number: 414-479-1800
Mailing Address
Dr. SAMUEL H IDARRAGA M.D.
2645 N MAYFAIR RD SUITE 200
WAUWATOSA, WI 53226-1304
Phone number: 414-479-1800
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